Wellness West LLC

NPI #1306569629 in Waukesha, Wisconsin

Provider Information

NPI Number: 1306569629
Entity Type: Organization
Organization Name: Wellness West LLC
Primary Specialty: Clinic/Center - Mental Health (Including Community Mental Health Center)
Enumeration Date: Sep 21, 2022
Last Updated: Sep 21, 2022

Practice Location

Address: 2428 N GRANDVIEW BLVD STE 101
City: Waukesha
State: Wisconsin
ZIP Code: 53188-6906
Phone: (262) 259-4100

Authorized Official

Name: JENNIFER VANN, PSYD
Title: OWNER/PSYCHOLOGIST
Phone: (262) 259-4100

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center - Mental Health (Including Community Mental Health Center) — Mental Health (Including Community Mental Health Center)	261QM0801X	Primary

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